Individual provider · Type 1 NPI

Kenneth Lalas

Family Nurse Practitioner · Manhattan Beach, CA

NPI number 1912458290 Active

Practice location

111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-6849

Call (310) 379-2134 Map

Mailing address

40977 Bankhall St
Lake Elsinore, CA 92532-1640

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95005230 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1912458290

Kenneth Lalas's National Provider Identifier is 1912458290, issued on Oct 20, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manhattan Beach, CA. The record was last updated on Oct 20, 2016.